期刊论文详细信息
PREVENTIVE MEDICINE 卷:69
A community-based, culturally relevant intervention to promote healthy eating and physical activity among middle-aged African American women in rural Alabama: Findings from a group randomized controlled trial
Article
Scarinci, Isabel C.1  Moore, Artisha1  Wynn-Wallace, Theresa1  Cherrington, Andrea1  Fouad, Mona1  Li, Yufeng1 
[1] Univ Alabama Birmingham, Div Prevent Med, Birmingham, AL 35205 USA
关键词: African American;    Rural;    Women;    Healthy lifestyle;    Behavior change;   
DOI  :  10.1016/j.ypmed.2014.08.016
来源: Elsevier
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【 摘 要 】

Objective: We examined the efficacy of a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American (AA) women between the ages of 45-65 years, residing in rural Alabama. Methods: We conducted a group randomized controlled trial with counties as the unit of randomization that evaluated two interventions based on health priorities identified by the community: (1) promotion of healthy eating and physical activity; and (2) promotion of breast and cervical cancer screening. A total of 6 counties with 565 participants were enrolled in the study between November 2009 and October 2011. Results: The overall retention rate at 24-month follow-up was 54.7%. Higher retention rate was observed in the healthy lifestyle arm (63.1%) as compared to the screening arm (45.3%). Participants in the healthy lifestyle arm showed significant positive changes compared to the screening arm at 12-month follow-up with regard to decrease in fried food consumption and an increase in both fruit/vegetable intake and physical activity. At 24-month follow-up, these positive changes were maintained with healthy eating behaviors, but not engagement in physical activity. Conclusions: A culturally relevant intervention, developed in collaboration with the target audience, can improve (and maintain) healthy eating among AA women living in rural areas. (C) 2014 Elsevier Inc All rights reserved.

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